Feasibility of foot deformations corrective operations performing in patients with diabetes

Authors

  • S. D. Shapoval “Zaporizhzhia Medical Academy of Post-Graduate Education of Health Ministry of Ukraine”,
  • I. L. Savon “Zaporizhzhia Medical Academy of Post-Graduate Education of Health Ministry of Ukraine”,
  • O. V. Tribushnoy “Zaporizhzhia Medical Academy of Post-Graduate Education of Health Ministry of Ukraine”,
  • V. O. Byelinska “Zaporizhzhia Medical Academy of Post-Graduate Education of Health Ministry of Ukraine”,
  • O. O. Maksimovа “Zaporizhzhia Medical Academy of Post-Graduate Education of Health Ministry of Ukraine”,

DOI:

https://doi.org/10.14739/2310-1210.2017.4.104958

Keywords:

diabetic foot, surgery, treatment outcome

Abstract

Objective: To improve methods of early diagnosis of diabetic neuropathy and suggest options for surgical prophylaxis possible purulent and necrotic complications in patients with diabetic foot syndrome.

Materials and Methods. The study involved 64 patients with complicated diabetic foot syndrome (DFS). The average age of patients - 61,9 ± 3,8 years, duration of diabetes - 11,47 ± 3,2 years. The patients had neuropathic and mixed forms of DFS, fingers or arched foot deformations with the presence of pressor venous trophic ulcers in the forefoot. Patients were randomized into two groups: the main group - 34 and comparison group - 30 patients. There were representative characteristics for all groups: age, sex, comorbidity and did not differ significantly (P> 0,05). There were no statistically significant difference between the groups of these data (χ2 = 0,05; P = 0,8195).

Results. After 6 months of complex treatment the ulcers were healed in more than half of patients in both groups - 19 (63,3%) of patients in the comparison group and 25 (73,5%) of the main group. In 8 (26,7%) patients in the comparison and 7 (20,6%) of the main group positive dynamics was observed, but over a longer period of treatment .

After 12 months, the number of patients whose ulcers were completely healed differed significantly by the main group (P = 0,0007; χ2 = 11,41). Also in the main group was only 1 (3,0%) patient with ulcer that was not healed, in contrast to the comparison group - 7 (23,3%) patients (P = 0,0373; χ2 = 4,34).

Conclusions. Operations aimed at correction of fingers and feet deformations in combination with standard therapy and unloading of the lower limb, allow improving the results of patients with complicated DFS treatment by reducing the number of relapses.

References

Beloborodov, V. А., Frolov, А. P., & Rudykh, К. Y. (2013) Lechenie gnojno-nekroticheskikh oslozhnenij sindroma diabeticheskoj stopy [Treatment is purulent necrotic complications of the syndrome of diabetic foot]. Suchasni medychni tekhnolohii, 3, 23–25. [in Russian].

Dedov, I. I. (2012) Sakharnyj diabet – opasnejshij vyzov mirovomu soobshestvu [Diabetes mellitus – a dangerous treat to the mankind]. Vestnik Rossijskoj akademii medicinskikh nauk, 1, 7–13. [in Russian].

Shapoval, S. D., Savon, I. L., Sofilkanych, M. M., & Belinskaya, V. O. (2015) Zastosuvannia podovzhenoi blokady sidnychnoho nerva u khvorykh na uskladnenyi syndrom diabetychnoi stopy [Use of prolonged blockade of the sciatic nerve in patients with complicated dіabetic foot syndrome]. Kharkivska khirurgichna shkola, 3(72), 17–21. [in Ukrainian].

Strokov, I. A., & Fokina, A. S. (2012) Novye vozmozhnosti lecheniya diabeticheskikh oslozhnenij [New options treatment for diabetic complications]. Rossijskij medicinskij zhurnal, 20(20), 996–1000. [in Russian].

Fuss, Yu. O., & Voloboieva, A. O. (2015) Diahnostyka necrotychnykh infektstii miakykh tkanyn u khvorykh na tsukrovyi diabet[Diagnosis of necrotizing soft tissue infections in patients with diabetes]. Klinichna khirurhiia, 11(2), 80–82. [in Ukrainian].

Atiyeh, B. S.,Dibo, S. A., & Hayek, S. N. (2009) Wound cleansing, topical antiseptics and wound healing. Int. Wound J., 6(6), 420–430. doi: 10.1111/j.1742-481X.2009.00639.x.

Ziegler, D., Movsesyan, L., Mankovsky, B., Gurieva, I., Abylaiuly, Z., & Strokov, I. (2009) Treatment of Symptomatic Polyneuropathy with Actovegin in Type 2 Diabetic Patients. Diabetes Care, 32, 1479–1484. doi: 10.2337/dc09-0545.

Rouhipour, N., Hayatshahi, A., Nikoo, M. K., Yazdi, N. M., Heshmat, R., Qorbani, M., et al. (2012) Clinical microbiology study of diabetic foot ulcer in Iran; pathogens and antibacterial susceptibility. African J. Microbiology Research, 6(27), 5601–5608. doi: 10.5897/AJMR11.1464.

Tahrani, A. A., Askwith, T., & Stevens, M. J. (2010) Emerging drugs for diabetic neuropathy. Хpert.Opin.Emerg.Drugs, 15(4), 661–683. doi:10.1517/14728214.2010.512610.

Downloads

How to Cite

1.
Shapoval SD, Savon IL, Tribushnoy OV, Byelinska VO, Maksimovа OO. Feasibility of foot deformations corrective operations performing in patients with diabetes. Zaporozhye Medical Journal [Internet]. 2017Jul.3 [cited 2024Nov.23];(4). Available from: http://zmj.zsmu.edu.ua/article/view/104958

Issue

No. 4 (2017)

Section

Original research

License

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.  Лицензия Creative Commons
    2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
    3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)